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Permit EL10-0282 - EMERALD CITY SMOOTHIE
EMERALD CITY SMOOTHIE 14800 STARFIRE WY EL1 0-0282 City41kf Tukwila Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206 - 431 -3670 Inspection Request Line: 206 - 431 -2451 Web site: http: / /www.ci.tukwila.wa.us Parcel No.: 2323049001 Address: 14800 STARFIRE WY TUKW Suite No: ELECTRICAL PERMIT Permit Number: EL10 -0282 Issue Date: 04/15/2010 Permit Expires On: 10/12/2010 Tenant: Name: EMERALD CITY SMOOTHIE Address: 14800 STARFIRE WY , TUKVVILA WA Owner: Name: TUKWILA CITY OF Phone: Address: 6200 SOUTHCENTER BLVD , TUKWILA WA Contact Person: Name: CHRIS PSACHOS Phone: 206 - 878 -2866 Address: 23444 30 AV S #101 , KENT WA Contractor: Name: SOUTHGATE ELECTRIC INC Phone: Address: 23444 30 AV S STE 101 , KENT WA Contractor License No: SOUTHEI366P1 Expiration Date: 08/30/2011 DESCRIPTION OF WORK: WIRE MISCELLANEOUS KITCHEN EQUIPMENT Value of Electrical: NRES: $8,210.00 RES: $0.00 Type of Fire Protection: UNKNOWN Electrical Service provided by: PUGET SOUND ENERG Permit Center Authorized Signature: Fees Collected: $247.30 National Electrical Code Edition: 2008 Date: 14— (S' IJ I hereby certify that I have read and examined this permit and know the same to be true and correct. All provisions of law and ordinances governing this work will be complied with, whether specified herein or not. The granting of this permit does not presum g' - authority to violate or cancel the provisions of any other state or local laws regulating construction or the perforr a of wor thorized to sign and obtain this electrical permit. Signature: Print Name: 4/1. g/.9c6zezl Date: o This permit shall become null and void if the work is not commenced within 180 days from the date of issuance, or if the work is suspended or abandoned for a period of 180 days from the last inspection. doc: EL -4/07 ELI 0-0282 Printed: 04 -15 -2010 Parcel No.: 2323049001 Address: Suite No: Tenant: • City of Tukwila Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206 - 431 -3670 Fax: 206 - 431 -3665 Web site: http: / /www.ci.tukwila.wa.us 14800 STARFIRE WY TUKW EMERALD CITY SMOOTHIE PERMIT CONDITIONS Permit Number: Status: Applied Date: Issue Date: EL10 -0282 ISSUED 04/15/2010 04/15/2010 1: ** *ELECTRICAL * ** 2: A copy of the electrical work permit shall be posted or otherwise made readily accessible to the Electrical Inspector at each work site. 3: Approved plans shall be maintained at the construction site and shall be readily available to the Electrical Inspector. 4: All electrical work shall be in accordance with NFPA 70 - NEC, and requirements for electrical installations, Chapter 296 -46B WAC. 5: When any portion of the electrical installation is to be hidden from view by permanent placement of parts of the building, such equipment shall not be concealed until it has been inspected and approved by the Electrical Inspector. 6: The issuance of an electrical work permit shall not be construed to be a permit for, or an approval of, any violation of the provisions of the electrical code or other ordinances of the jurisdiction. Permits or related documentation that presumes to grant this authority are therefore not valid. 7: Any change in the scope of work described by the electrical work permit shall require additional work permits. Where approved plans have been issued, revisions to the plans and additional review may be required. I hereby certify that I have read these conditions and will comply with them as outlined. All provisions of law and ordinances governing this work will be complied with, whether specified herein or not. The granting of this permit does not presume to giv uthority to violate or cancel the provision of any other work or local laws regulating construction or the performan work. . — /X--/ 0 Signature: (P----" Date: Print Name: a 44,i/ Oifr� s doc: Cond -Elec ELI 0-0282 Printed: 04 -15 -2010 CITY OF .TUKW1i0 Community Development Department Permit .Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http://www.cLtukwila.wa.us Electrical Permit No. ELI — C Project No. (For office use only)_ ELECTRICAL PERMIT APPLICATION Applications and plans must be complete in order to be accepted for plan review. Applications will not be accepted through the mail or by fax. * *Please Print ** SITE LOCATION King Co Assessor's Tax No.: ).---71)----4114 ' COO Site Address: ,'OD E T) &F I ( W,04'] Suite Number: Tenant Name: eJ' F6 EG5 LLC.. D6A 514e4ta, -GD( MoorN1E New Tenant: Yes ❑ ..No Property Owners Name: 67-P-4.4.-P-‘ QC 51 ' 2Ts Mailing Address: 11100 .5141. (ZE wAy T ktAN L4 City State Floor: 9 ,I egl Zip CONTACT PERSON - Who do we contact when your permit is ready to be issued Name: 561.1T7-1-cy4TE EL c rQ.jG Mailing Address: .g3 4 4 1 3O—n4 4v S, '90 =( E -Mail Address: G rl r`t S Q So 1-4-1-L5 a "c- • Cc t/L Day Telephone: 4 D6 " F-'8' 66 YE--A17— Wet 9ft3 City State Zip Fax Number: a206 - 3'98- '1373 $'n ELECTRICAL CONTRACTOR INFORMATION Company Name: Mailing Address: Scxur -lGA rE c, ,Z3L -ILI 3o-n4 -11/0r Contact Person: CH-a- t S QS A c.l-kc E -Mail Address: Gjn n I S Sau-F-LLg c44 ..I 4 - • C-o Contractor Registration Number: S O tit 714 E Z 3 Co to P City 1ti1 9r0, State Zip Day Telephone: mod% ` Vig a r t0 Fax Number: 'ROG"' '&gig" 7f 3T D Expiration Date: v130/91011 Valuation of Project (contractor's bid price): $ 9/0Z l ©•11 UGC Scope of Work (please provide detailed information): R.) I y2E AA/ SC , )41 Will service be altered? ❑ Yes la) No Adding more than 50 amps? ® Yes ❑ No Type of Use: Type of work: ❑ New ❑ Addition ❑ Low Voltage ❑ Generator Property Served by: ❑ Puget Sound Energy • Seattle City Light HAApplications\Potms- Applications On Lne\2010 Applications \I -2010- Elxtncal Permit Application.doc ❑ Service Change ❑ Fire Alarm bh Page 1 of 2 ❑ Remodel a Tenant Improvement ❑ Telecommunication ❑ Temporary Service RESIDENTIAL NEW RESIDENTIAL SERVICE ❑ New single family dwellings $152.85 (including an attached gage) ❑ Garages, pools, spas and outbuildings $81.90 ea ❑ Low voltage systems (alarm, furnace thermostat) $5925 ea RESIDENTIAL REMODEL AND SERVICE CHANGES ❑ Service change or alteration $81.90 (no added/altered circuits) ❑ Service change with added/altered circuits $81.90 number of added circuits $11.55 ea • Circuits added/altered without service change $54.60 (up to 5 circuits) ❑ Circuits added/altered without service change $54.60 (6 or more circuits) $7.65 ea ❑ Meter /mast repair $68.25 ❑ Low voltage systems $59.85 (alarm, furnace thermostat) MULTI- FAMILY AND COMMERCI L Fees are based on the valuation of the electrical contract. MISCELLANEOUS FEES ❑ Temporary service (residential) $63:0 ❑ Temporary service (generator) $78.75 ❑ Manufactured/mobile home service $84.00 (excluding.. garage or. outbuilding) ❑ Carnivals $78.75 Number of concessions $ 1050 ea PERMIT APPLICATION NOTES - Value of Construction — In all cases, a value of construction amount should be entered by the applicant. This figure will be reviewed and is subject to possible revision by the Permit Center to comply with current fee schedules. Expiration of Plan Review — Applications for which no permit is issued within 180 days following the date of application shall expire by limitation. The Building Official may grant one extension of time for an additional period not to exceed 90 days. The extension shall be requested in writing and justifiable cause demonstrated. I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE UNDER PENALTY OF PERJURY BY THE LAWS OF THE STATE OF WASHINGTON, AND I AM AUTHORIZED TO APPLY FOR THIS PERMIT. BUILDING OWNER OR ELECTRICAL CON TOR: Signature: Print Name: K? #2 c 5 (/'S/4 c h oS Mailing Address:23 C/V 7 3� `' — 04z/ E Day elephone: r Citij Date: V Cc Co $7$ —2.S 6.6 ,< ,9b Z. State Zip Date Application Accepted: Date Application Expires: Staff Initials: H:\Applications\Fonns- Applications On Line N.2010 Applications U-2010 - Electrical Permit Application.doc bh Page 2 of 2 • City of Tukwila Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206-431-3670 Fax: 206 - 431 -3665 Web site: http: / /www.ci.tukwila.wa.us RECEIPT Parcel No.: 2323049001 Permit Number: EL10 -0282 Address: 14800 STARFIRE WY TUKW Status: PENDING Suite No: Applied Date: 04/15/2010 Applicant: EMERALD CITY SMOOTHIE Issue Date: Receipt No.: R10 -00644 Initials: WER User ID: 1655 Payment Amount: $247.30 Payment Date: 04/15/2010 01:17 PM Balance: $0.00 Payee: SOUTHGATE ELECTRIC INC TRANSACTION LIST: Type Method Descriptio Amount Payment Check 62208 247.30 Authorization No. ACCOUNT ITEM LIST: Description Account Code Current Pmts ELECTRICAL PERMIT - NONR 000.322.101.00.00 247.30 Total: $247.30 PAYMENT RECEIVED doc: Receiot -06 Printed: 04 -15 -2010 INSPECTION NO. INSPECTION RECORD Retain a copy with permit CI) 0 -asz, PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 1 ' 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3q7 (6 Project: r l S I („� of Inspection: ov Address: / /'7 OD S kri lA am+ Date Called: Special Instructions: Date Wanted: 5 Zf p. Requester: Phone No: Approved per applicable codes. ❑ Corrections required prior to approval. OMMENTS: Coll,for7045 NAflE r Ins pector: ' _ / Date:1)</ r Ito ri $60.00 REINSPECTION FEE REQUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. Receipt No.: Date: ar• ��ar �r,�w".,a: ±.: �--��u u�r —:Sc €c'�sc��rr`� .� -�w'c� INSPECTION RECORD Retain a copy with permit INSPECTION NO. PERMIT NO. CITY OF TUKWILA BUILDING DIVISION r- 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670 C6 PrIttleOVP Ct C tIa rope J of Inspection: el `� v /'/ Address• /y`goo 51yre,, (e6 Date Called: . (4 icao per. kta - 1 1),A-pr6 UJtTH SoveLE POIw4JD Special Instructions: �.�![� OW �ic'`y"'— PittO Date Wanted: S t� /ain Requester: V Phone No: Approved per applicable codes. Corrections required prior to approval. - COMMENTS: ' — AffkaktP adVildi 1-Al•1At TICS - Grc i ['R e: o10V IZCDote-6D r'o k t . (4 icao per. kta - 1 1),A-pr6 UJtTH SoveLE POIw4JD tigrAirr- - id- u1E FJSt5 Fok_ otcd t &sio4 Pt. - tiRdurocci-liet-e:$ spec, - APP2o! etti.- k F4 6ort, E6ta Q 9 Inspector: 5n\Ur ma Date: OS- 8l0 $60.00 REINSPECTION FEE REQUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. Receipt No.: Date: relec.c-. " s -ad atic- see,. -.... .r.<m.r �;l,61,6 add ia1191gnixs INSPECTION RECORD Retain a copy with permit INSPECTION NO. PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670 to 0-032, (6 Pr ct: Type of Inspection: ..." 3 Addrep MOD 5-04kO Q.E Date Called: Special Instructions: Date Wanted: y/2 4 a. P.m. Requester: a ..- 114D rbilet 0(ISTa 3 -oyez' Phone No: cc PmC ? AO NApproyed per applicable codes. Corrections required prior to approval. 1 COMMENTS: \ . p IAA/ Ift/ J eakkio Id cal4flere a ..- 114D rbilet 0(ISTa 3 -oyez' cc PmC ? AO PDUE MAKE S - C K 6-7 SCeCu/ ems/ CzJpunIgS k F.e•ei coNiburr Inspector: el) IT $60.00 REINSPECTION FEE REQUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. Date: ay 1r '0 Receipt No.: Date: !sr�c�.....�,.r�v�-�.�,:..., -� x`�..v?`c2�^�- �•✓�ir tit.. �. se, c- i; �'? ?':-+. s✓-_+ i�: aa:• �?' .n,t'•.- ;_<'�:a�t"`>!:- .`.'} »": 9^"ry'�:cy3- m:'3�d`s 'Z Contractors or Tradespeople Peter Friendly Page Electrical Contractor A business licensed by L &I to contract electrical work within the scope of its specialty. Electrical Contractors must maintain a surety bond or assignment of savings account. They also must have a designated Electrical Administrator or Master Electrician who is a member of the firm or a full -time supervisory employee. Business and Licensing Information Name Southgate Electric Inc UBI No. 578089488 Phone 2068782866 Status Active Address 23444 30Th Ave S Ste 101 License No. SOUTHEI366P1 Suite /Apt. License Type Electrical Contractor City Kent Effective Date 10/21/1964 State Wa Expiration Date 8/30/2011 Zip 98032 Suspend Date County King Specialty 1 General Business Type Corporation Specialty 2 Unused Parent Company ADMINISTRATOR INFORMATION License BRENNPJ066RC Name Brennan, Patrick Joseph Status Active Business Owner Information Name Role Effective Date Expiration Date Steigers, Herbert C &Nbsp; 01/01/1980 7/6/2006 Paschos, Chris &Nbsp; 01/01/1980 $250.00 Psachos, Chris Agent 01/01/1980 ELECTRICAL CITATION Psachos, Barbara Secretary 01/01/1980 08/03/2001 Bond Information Page 1 of 2 Bond Bond Company Name Bond Account Number Effective Date Expiration Date Cancel Date Impaired Date Bond Amount Received Date 1 CBIC 611625 10/28/1978 Until Cancelled $4,000.00 Assignment of Savings Information No records found for the previous 6 year period Insurance Information No records found for the previous 6 year period Summons /Complaint Information Summons and Complaints are not filed with the department for this contractor type Infractions /Citations Information Infraction / Citation Date RCW Code Type Status Violation Amount EJORP00796 7/6/2006 19.28.101 RCW ELECTRICAL CITATION Satisfied $250.00 EJORP00797 7/6/2006 19.28.101 RCW ELECTRICAL CITATION Satisfied $250.00 EJORP00818 7/6/2006 19.28.101 RCW ELECTRICAL CITATION Satisfied $250.00 EJORP00802 7/6/2006 19.28.101 RCW ELECTRICAL CITATION Satisfied $250.00 EJORP00807 7/6/2006 19.28.101 RCW ELECTRICAL CITATION Satisfied $250.00 EJORP00810 7/6/2006 19.28.101 RCW ELECTRICAL CITATION Satisfied $250.00 EJORP00812 7/6/2006 19.28.101 RCW ELECTRICAL CITATION Satisfied $250.00 EJORP00794 7/6/2006 19.28.101 RCW ELECTRICAL CITATION Satisfied $250.00 EJORP00800 7/6/2006 19.28.101 RCW ELECTRICAL CITATION Satisfied $250.00 EJORP00804 7/6/2006 19.28.101 RCW ELECTRICAL CITATION Satisfied $250.00 EJORP00791 7/6/2006 19.28.101 RCW ELECTRICAL CITATION Satisfied $250.00 https: // fortress .wa.gov /lni/bbip/Print.aspx 04/15/2010